Model Release Page 2

I/we have read and understand the UW Safety Policy, and I/we are wearing the appropriate safety gear

required in our lab at all times.

Date: _________________

Signature: _______________________________

I/we understand that we are not wearing safety gear i.e. white coats and safety glasses.

I/we do not wear safety equipment in our department for the following reasons.

____________________________________________________________________________________

Date: _____________

Signature:

____________________________________________________________________________

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Parent category: Legal